Levemir question

[Jonathan_15Jan1969]

@Jonathan_15Jan1969 I tend to try a dose change for 3 days before changing again if I get a higher than desired result. That way you can check if it’s consistently wrong or if something else has caused your high. If I get a low, I change my dose immediately to avoid the risk of hypos.

So, your 8 isn’t shockingly high, and personally I’d leave that dose as it was and gather a few more results first.

Thanks Inka that sounds like good advice, particularly in the case of low bg. Shall keep as is for time being and see what results I get over the coming days.

 

[Adehem]

Sorry to hijack thread slightly, I am a bit similar as I have changed to Levemir from Lantus. In my case due to what appears an increased insulin sensitivity in the early hours that has suddenly come to my attention. As Lantus appears unable to be split, my diabetes consultant suggested a split dose of Levemir which appears a common thing and seemed the best thing in this case.

I am also trying to get right doses for each split but am wondering if your body needs a time to adjust to the dose and needs to be done for a few days before making another adjustment. I noticed that my evening dose (doing 6am and 6pm) is no longer hypo level in the morning but was above 8 mmol/L so was going to increase evening dose, but would that be too soon to adjust. Think I was told when on Lantus to wait to adjust to new insulin quantity before changing again but if you are high and it's the same the next day you don't want to be high too long even though it's safer than the other way.

Thanks

Thanks for the input. Yes I do wait for it to settle for a few days. I just then put it up 1 unit then I can put it back if needed. Trial and error eh mate.

 

[Jonathan_15Jan1969]

Thanks for the input. Yes I do wait for it to settle for a few days. I just then put it up 1 unit then I can put it back if needed. Trial and error eh mate.

Yes indeed,'Trial and error' could be the diabetic motto 🙂

 

[trophywench]

The 3 days thing with Lantus is only because the pesky stuff can take up to 72 hrs before you get the correct result on your BG meter that the eensy little tweak you made to the dose or the timing of it, has actually made. That's frustrating enough if it's OK-ish but OMG if it ain't OK-ish it's infuriating.

However, very often with Levemir, you can tell PDQ (within 12 hours or so) whether it's done the trick or is disastrous and hence, you can revert to whatever it was yesterday equally as quickly. Then wait another 24 hrs to just get your body on a more even keel again, before trying something different.

The caveat of test, test, test after making any such change is essential, before relaxing and saying Great! to yourself.

And - only EVER change ONE thing at a time.